Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephanie Doughty Kilgannon

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1669139085

Stephanie Doughty Kilgannon is an Addiction (Substance Use Disorder) Counselor in Massapequa, New York. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3

Practice location Address checks out

54 Cherry St
Massapequa, NY 11758-5117
Phone: (718) 791-7487
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
School Counselor Taxonomy 101YS0200X

Record details

NPI number1669139085
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 19, 2021
Last updated in NPPESNovember 19, 2021
Certification dateNovember 19, 2021

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